Glacier Hope Homes, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GLACIER HOPE HOMES, INC.

Practice address

390 Hodgson Rd
Columbia Falls, MT 59912-9063

Phone

(406) 871-6738

NPI assigned

Sep 14, 2018

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason Adam Stevens

Title

Executive Director

Phone

(406) 871-6738

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1407339401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HODGSON RD",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129063",
            "telephone_number": "406-897-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HODGSON RD",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129063",
            "telephone_number": "406-871-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER HOPE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-871-6738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Frissell
• Aaron Frohrib
• Cameron Gardner, MD
• D'Ann Grace Gareis, LCPC
• Derek Allan Gedlaman, DO
• Glacier Peaks Mobile Physical Therapy LLC (Glacier Peaks Physical Therapy)
• Glacier Physical Therapy, LLC (Glacier Physical Therapy)
• Glacier RX, Inc (Good Medicine Pharmacy)
• Robert H Gordon, LCSW
• Robert Taylor Hager, D.C.

• Substance Abuse Rehabilitation Facility in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Substance Abuse Rehabilitation Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.